Code: A9539

Description:
Description: Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP DTPA
HC RP DTPA
TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI
T99 PENTETATE
PENTETATE
RX DX 99MTC DTPA per Dose
Tc99m Pentetate<25mci
Related codes:
Code: A9530
I131 SOD IOD SOL TX MCI
Code: A9531
I131 SODIUM IOD DX UCI
Code: A9532
Description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9533
SPL RADOPHRM DX IMAG AGT I-131 TOSITUMOMAB-MCI
Code: A9534
SPL RADOPHRM TX IMAG AGT I-131 TOSITUMOMAB-MCI
Code: A9535
INJECTION METHYLENE BLUE 1 ML
Code: A9536
TC99M DEPREOTID DX 35MCI
Code: A9537
TC99M MEBROFEN DX 15MCI
Code: A9538
TC99M PYROPHOS DX 25MCI
State Average # Hospitals In Database
Utah (UT) $34 1
Illinois (IL) $42 1
New Jersey (NJ) $53 2
Minnesota (MN) $61 15
Maryland (MD) $70 7
Oklahoma (OK) $99 2
Vermont (VT) $101 1
District of Columbia (DC) $106 1
Connecticut (CT) $149 5
Kansas (KS) $154 7
Mississippi (MS) $155 7
Wyoming (WY) $155 2
Maine (ME) $164 6
Arizona (AZ) $165 1
Delaware (DE) $188 1
Alaska (AK) $192 2
North Carolina (NC) $192 26
West Virginia (WV) $192 2
Ohio (OH) $209 9
California (CA) $220 68
Wisconsin (WI) $237 27
Tennessee (TN) $242 14
Pennsylvania (PA) $247 2
Idaho (ID) $255 9
Alabama (AL) $265 10
New York (NY) $282 3
Georgia (GA) $284 21
Missouri (MO) $294 11
Indiana (IN) $342 13
North Dakota (ND) $365 3
Louisiana (LA) $395 2
Michigan (MI) $406 132
Nebraska (NE) $432 9
South Carolina (SC) $450 6
Kentucky (KY) $459 12
Rhode Island (RI) $473 2
Massachusetts (MA) $534 6
Iowa (IA) $535 3
Florida (FL) $693 103
Washington (WA) $710 1
Virginia (VA) $725 6
Hawaii (HI) $742 4
Texas (TX) $753 40
New Hampshire (NH) $851 2
New Mexico (NM) $1,486 2
Nevada (NV) $1,891 16
Oregon (OR) $3,307 3
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.